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Shining Light on Darkness: Suicidal Ideation and Suicide Attempt Among Iranian Women Who Do and Do Not Use Drugs Publisher



Ghaderi S1 ; Morovat B2 ; Masoumirad R3 ; Noori R4 ; Saeedi Moghaddam S5, 6 ; Moazen B7, 8 ; Dolan K9 ; Shokoohi M10, 11
Authors
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Authors Affiliations
  1. 1. Department of Sociology, Faculty of Human and Social Sciences, Kharazmi University, Tehran, Iran
  2. 2. Department of Social Sciences, Shahid Mofateh Pardis, Farhangian University, Tehran, Iran
  3. 3. Department of Social Sciences, Faculty of Literature and Humanities, University of Guilan, Rasht, Iran
  4. 4. Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  5. 5. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany
  8. 8. Department of Health and Social Work, Institute of Addiction Research (ISFF), Frankfurt University of Applied Sciences, Frankfurt/Main, Germany
  9. 9. Program of International Research and Training, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
  10. 10. HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  11. 11. Dalla Lana School of Public Health, University of Toronto, Toronto, Canada

Source: Drugs: Education# Prevention and Policy Published:2021


Abstract

Background: Illicit drug use and dependence is a well-established risk factor for self-harm and suicide. The present comparative study aimed to evaluate the prevalence of suicidal ideation and suicide attempt among Iranian women. Methods: With a cross-sectional design, a total of 787 Iranian women who reported using illicit drugs and 406 women without drug use history were recruited and invited to answer questions regarding their socio-demographic status, individual health conditions, interpersonal information, e.g. experience of sexual, verbal, or physical violence, illicit drug use, and history of suicidal ideation and suicide attempt. Data were collected through gender-matched interviews. Generalized Linear Models (GLM) with Poisson family and log link function were used to report adjusted prevalence ratios (APR) of the associated factors of the study outcomes. Results: The mean age (SD) of women with and without drug use was 34.3 (9.2) and 30.5 (11.0) years, respectively. Prevalence of lifetime history of both suicidal ideation (38.54 vs 19.01%) and suicide attempt (26.25 vs 6.55%) was significantly higher among women reporting drug use compared to those reporting no drug use. The APR of the associated factors ranged from 1.8 to 3.1 and from 3.3 to 4.8 for suicidal ideation and suicide attempt, respectively. Conclusion: Women who use drugs are at greater risk of suicidal ideation and suicide attempt compared with their peers who do not use drugs. Although further studies are required to explore possible causal relationships between drug use and suicide among Iranian women, a comprehensive package of care and treatment in addition to predominantly drug-related harm reduction programs may help address such critical health issues among Iranian women who use drugs. © 2020 Informa UK Limited, trading as Taylor & Francis Group.
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